Sexual and reproductive health in riverine communities: integrative review

Parmejiani, Elen Petean; Queiroz, Ana Beatriz Azevedo; Pinheiro, Aldrin de Souza; Cordeiro, Edilene Macedo; Moura, Maria Aparecida Vasconcelos; Paula, Michelle Barbosa Moratório de

doi:10.1590/S1980-220X2019033103664

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REVIEW • Rev. esc. enferm. USP 55 • 2021 • https://doi.org/10.1590/S1980-220X2019033103664 copy

Sexual and reproductive health in riverine communities: integrative review^* * Extracted from the thesis: “Representações sociais sobre saúde reprodutiva por mulheres e homens de uma comunidade ribeirinha no baixo madeira, Porto Velho-RO”, Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro, 2020.

Salud sexual y salud reproductiva de la población ribereña: revisión integradora

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the scientific evidence available on the sexual and reproductive health of riverine communities.

Method:

Integrative review, conducted on the databases LILACS, MEDLINE; WEB OF SCIENCE and SCOPUS, including publications in Portuguese, English or Spanish, without an initial time limit and published until 2018.

Results:

11 studies were selected. The studies included are from the period 1993-2017. The results originated four analytical categories: sexual component, which gathered findings about sexually transmitted infections; reproductive component, which included family planning/fertility control, abortion and problems with pregnancy; environmental component, which presented issues with environmental contaminants and its reproductive implications; and the sociocultural component, which discussed gender, beliefs and social indicators.

Conclusion:

In this review, studies with a quantitative approach, from a female point of view and a biological perspective predominated. No study investigated the meanings and representations of SRH for the riverine communities. In addition, the findings show little evidence of thoughts and practices of people living in riverine communities regarding SRH issues, providing limited evidence.

Sexual Health; Reproductive Health; Population Groups; Review

DATABASE	SEARCH SYNTAX
LILACS	tw:(tw:((tw:(mulher OR homem OR população OR "Grupos Populacionais")) AND (tw:(ribeirinh)) AND (tw:("Saúde Sexual e Reprodutiva" OR "Saúde Sexual" OR "Saúde Reprodutiva" OR "Comportamento Reprodutivo" OR "Comportamento Sexual" OR coito OR reprodu OR sex*))) AND (instance:"regional") AND ( db:("LILACS"))) AND (instance:"regional")
MEDLINE/ PubMed	((Women[MeSH Terms]) OR (Men[MeSH Terms]) OR (Population[MeSH Terms]) OR ("Population Groups"[MeSH Terms])) AND ((Rive) OR (Riparia)) AND (("Reproductive Health"[MeSH Terms]) OR ("Sexual Health"[MeSH Terms]) OR ("Reproductive Behavior"[MeSH Terms]) OR ("Sexual Behavior"[MeSH Terms]) OR (Coitus[MeSH Terms]) OR (Reproduction[MeSH Terms]) OR (Sex))
SCOPUS	INDEXTERMS(Women OR Men OR Population OR "Population Groups") AND TITLE-ABS-KEY(Rive* OR Riparia*) AND INDEXTERMS("Reproductive Health" OR "Sexual Health" OR "Reproductive Behavior" OR "Sexual Behavior" OR Coitus OR Reproduction)
WEB OF SCIENCE	TS=("Women" OR "Men" OR "Population" OR "Population Groups") AND TS= ("Riverside" OR "Riverine" OR "Riparian" OR "Riversides" OR "Riverines" OR "Riparians") AND TS=("Reproductive Health" OR "Sexual Health" OR "Reproductive Behavior" OR "Sexual Behavior" OR "Coitus" OR "Reproduction")

Title/year	Title of the journal	Database/language	Context	Design/Level of evidence	Information of the sample - participants	Study period	Data collection
Life at the River is a Living Hell:" a qualitative study of trauma, mental health, substance use and HIV risk behavior among female fish traders from the Kafue Flatlands in Zambia 2017 ⁽¹⁶16 Michalopoulos LTM Baca-Atlas SN, Simona SJ, Jiwatram-Negrón T, Ncube A, Chery MB. Life at the river is a living hell: a qualitative study of trauma, mental health, substance use and HIV risk behavior among female fish traders from the Kafue Flatlands in Zambia. BMC Womens Health. 2017;17(1):15. doi: https://doi.org/10.1186/s12905-017-0369-z. https://doi.org/10.1186/s12905-017-0369-... ⁾	Bmc Women's Health	SCOPUS/ English	Kafue, Zambia	Qualitative, descriptive (VI)	32 women, from 23 to 63 years old (interview), and from 17 to 55 years old (focus group)	August 2014 and January 2015	Semi-structured interviews and focus group
Knowledge and awareness of genital involvement and reproductive health consequences of urogenital schistosomiasis in endemic communities in Ghana: a cross-sectional study 2017 ⁽¹⁷17 Yirenya-Tawiah DR, Ackumey MM, Bosompem KM. Knowledge and awareness of genital involvement and reproductive health consequences of urogenital schistosomiasis in endemic communities in Ghana: a cross-sectional study. Reprod Health. 2016;13:17. doi: 10.1186/s12978-016-0238-5. doi: https://doi.org/10.1186/s12978-016-0238-5 https://doi.org/10.1186/s12978-016-0238-... ⁾	Reproductive Health	WEB OF SCIENCE/ English	Gana	Quanti-qualitative, cross-sectional (VI)	2,585 participants from 30 riverine communities, both genders - 1,295 men and 1,290 women, 18 to 49 years old	Not informed	Questionnaire and focus groups (205 participants), 10 groups with men and 14 groups with women
A comprehensive study of family planning among muslims of Assam 2017 ⁽¹⁸18 Ali I. A comprehensive study of family planning among muslims of assam. J Evol Med Dent Sci. 2017;6(4):347-9. doi: 10.14260/Jemds/2017/78 https://doi.org/10.14260/Jemds/2017/78... ⁾	Journal of Evolution of Medical and Dental Sciences	WEB OF SCIENCE/ English	Assam, India	Experience Report (VII)	Riverine muslims, gender is not clear	Not informed	Does not apply
Monitoring mercury exposure in reproductive aged women inhabiting the Tapajós river basin, Amazon 2014 ⁽¹⁹19 Corvelo TCO, Oliveira ÉA, Parijós AM, Oliveira CS, Socorro RPL, Araújo AA, et al. Monitoring mercury exposure in reproductive aged women inhabiting the tapajs river basin, Amazon. Bull Environ Contam Toxicol. 2014;93(1):42-6. doi: https://doi.org/10.1007/s00128-014-1279-5 https://doi.org/10.1007/s00128-014-1279-... ⁾	Bulletin of Environmental Contamination and Toxicology	WEB OF SCIENCE/ English	Pará, Brazil	Quantitative, cross-sectional (VI)	519 women, from 12 to 46 years old	1999 to 2012	Questionnaire and hair samples
Dos fetos engolidos e escondidos: um comentário sobre o apoio de parteiras ribeirinhas ao aborto 2012 ⁽²⁰20 Fleischer SR. Dos fetos engolidos e escondidos: um comentário sobre o apoio de parteiras ribeirinhas ao aborto. Ciênc Saúde Coletiva. 2012;17(7):1685-7. doi: https://doi.org/10.1590/S1413-81232012000700005 https://doi.org/10.1590/S1413-8123201200... ⁾	Ciência e Saúde Coletiva	LILACS/ Portuguese	Pará, Brazil	Reflection study (VII)	22 midwifes, age not informed	2004-2005	Reflection based on ethnographic data
Hepatitis B and C virus infection among Brazilian Amazon riparians 2011 ⁽²¹21 Oliveira CSF, Silva AV, Santos KN, Fecury AA, Almeida KCA, Fernandes AP, et al. Hepatitis B and C virus infection among Brazilian Amazon riparians. Rev Soc Bras Med Trop. 2011;44(5):546-50. doi: http://dx.doi.org/10.1590/S0037-86822011000500003 http://dx.doi.org/10.1590/S0037-86822011... ⁾	Revista da Sociedade Brasileira de Medicina Tropical	LILACS/ English	Pará, Brazil	Quantitative, cross-sectional (VI)	181 participants, both genders - 115 women and 66 men, age group 32 years old	February 15-16, 2010	Individual questionnaire, peripheral blood sample
Ethnic spirituality, gender and health care in the Peruvian Amazon 2009 ⁽²²22 Espinosa MC. Ethnic spirituality, gender and health care in the Peruvian Amazon. Ethnic Health. 2009;14(5):423-37. doi: https://doi.org/10.1080/13557850802702397 https://doi.org/10.1080/1355785080270239... ⁾	Ethnicity and Health	MEDLINE/ English	Loreto, Peru	Reflection study (VII)	24 families, both genders - 37 men and 37 women, age ranging from 21 to 52, with most participants between 35 and 50	1996-1997	Reflection (etnographic data), participant observantion, unstructured interviews, mapping and focus groups
Secular Trends in Age at Menarche Among Caboclo Populations From Pará, Amazonia, Brazil: 1930-1980 2006 ⁽²³23 Silva HP, Padez C. Secular trends in age at Menarche among Caboclo populations from Pará, Amazonia, Brazil: 1930-1980. Am J Hum Biol. 2006;18(1):83-92. doi: http://dx.doi.org/10.1002/ajhb.20458 http://dx.doi.org/10.1002/ajhb.20458... ⁾	American Journal of Human Biology	SCOPUS/ English	Pará/ Brazil	Quantitative, cross-sectional (VI)	322 - 164 teenagers and 158 adult women, 8 to 92 years old	1996-1997	Questionnaire
Inquérito do preservativo em ribeirinhos do Rio Acre: porte, acondicionamento, uso e risco de infecção pelas DST 2005 ⁽²⁴24 Silva AR, Lopes CM, Muniz PT. Inquérito do preservativo em ribeirinhos do Rio Acre: porte, acondicionamento, uso e risco de infecção pelas DSTs. Rev Bras Enferm. 2005;58(1):17-21, 2005. doi: http://dx.doi.org/10.1590/S0034-71672005000100003 http://dx.doi.org/10.1590/S0034-71672005... ⁾	Revista Brasileira de Enfermagem (Reben)	LILACS/ Portuguese	Acre/ Brazil	Quantitative, exploratory-descriptive (VI)	168 participants, both genders - 108 men and 60 women, 17 to 71 years old	Not informed	Form with close-ended questions
Pregnancy outcome and early health status of children born to the Techa river population 1994 ⁽²⁵25 Kossenko MM, Izhevsky PV, Degteva MO, Akleev AV, Vyushkova OV. Pregnancy outcome and early health status of children born to the Techa river population. Sci Total Environ. 1994;142(1-2):91-100. doi: http://dx.doi.org/10.1016/0048-9697(94)90076-0 http://dx.doi.org/10.1016/0048-9697(94)9... ⁾	The Science of the Total Environment	SCOPUS/ English	Techa River, Russia	Case-control (V)	4,546 children of irradiated parents and 35,607 in the control population; 426 exposed pregnant women and 426 unexposed pregnant women	1985 to 1989	No. of children born; causes of death of children > 1 year old; intrauterine fetal losses and interviews
Exposição ao Mercúrio Orgânico em Populações Ribeirinhas do Alto Madeira, Rondônia, 1991: Resultados Preliminares 1993 ⁽²⁶26 Boischio AAP, Barbosa A. Exposição ao mercúrio orgânico em populações ribeirinhas do Alto Madeira, Rondônia, 1991: resultados preliminares. Cad Saúde Pública. 1993;9(2):155-60. doi: http://dx.doi.org/10.1590/S0102-311X1993000200006 http://dx.doi.org/10.1590/S0102-311X1993... ⁾	Cadernos de Saúde Pública	LILACS/ Portuguese	Rondônia, Brazil	Quantitative, descriptive (VI)	311 riverines, both genders - quantity of each gender not specified, age from less than 24 months to more than 49 years	Not informed	Hair sample, interviews, and anthropometric measurements

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Elen Petean Parmejiani Av. Farquar, 3430, Edifício Arpoador, Apto. 402 CEP 76801-432 - Porto Velho, RO, Brazil elenpetean@yahoo.com.br